WO2012160550A1 - Système et procédé de surveillance d'électrocardiogramme - Google Patents
Système et procédé de surveillance d'électrocardiogramme Download PDFInfo
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- WO2012160550A1 WO2012160550A1 PCT/IL2012/000200 IL2012000200W WO2012160550A1 WO 2012160550 A1 WO2012160550 A1 WO 2012160550A1 IL 2012000200 W IL2012000200 W IL 2012000200W WO 2012160550 A1 WO2012160550 A1 WO 2012160550A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
- A61B5/6898—Portable consumer electronic devices, e.g. music players, telephones, tablet computers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/332—Portable devices specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
- A61B5/0006—ECG or EEG signals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
- A61B5/282—Holders for multiple electrodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/339—Displays specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/486—Bio-feedback
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6823—Trunk, e.g., chest, back, abdomen, hip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6824—Arm or wrist
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6828—Leg
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/683—Means for maintaining contact with the body
- A61B5/6831—Straps, bands or harnesses
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7221—Determining signal validity, reliability or quality
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/7465—Arrangements for interactive communication between patient and care services, e.g. by using a telephone network
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/7475—User input or interface means, e.g. keyboard, pointing device, joystick
Definitions
- the present invention relates to the field of telemedicine systems. More particularly, the invention relates to a method and system for capturing 12 lead ECG and rhythm strip data from a patient remotely using a telecommunication mobile device, such as iPhone.
- ECG devices that can obtain a standard 12 lead ECG, such as clinical ECG machines, personal acoustic devices (e.g., CardioSenC, Cardiobeeper 12L or CardioBeeper 12/12 by SHL Telemedicine).
- the latter personal devices adapted to be used by a non medical individual to capture a 12 lead ECG and/or Rhythm strip when the user has symptoms, routinely, as part of drug studies, pre/post surgery, etc.
- the present invention is particularly aimed at ill, people or patients known to suffer from cardiac problems, and patients recovering from a surgical intervention or cardiac episode or a disease.
- the present invention relates to a method for obtaining a 12-lead electrocardiogram and/or rhythm strip, comprising: a) anatomically properly positioning at least 9 monitoring electrodes on a user's body for capturing information related to the electrical activity of the heart of said user, wherein each of said electrodes is electrically connected to a personal ECG device, either directly and/or via an electrode belt; b) generating ECG data from said personal ECG device for a 12-lead electrocardiogram and a Rhythm strip (e.g., 12 seconds strip), wherein said generated ECG data represent the electrical activity of the heart of said user over time (and in real-time) as obtained by said skin electrodes; and c) wirelessly transferring said ECG data to a mobile communication device (e.g., a smartphone) for locally manipulating said ECG data and/or for forwarding said ECG data to a remote data center (e.g., remote medical center).
- a mobile communication device e.g., a smartphone
- the method further comprises transmitting the ECG data to the remote data center while speaking with a representative of said remote data center.
- the method further comprises displaying a 12 lead ECG and Rhythm strip on the mobile communication device by locally displaying the electrical activity of the heart on the screen of said mobile communication device.
- the method further comprises forwarding the ECG data via one or more error checking communication protocols to a remote terminal unit, thereby, for example, allowing said ECG data to be reviewed at remote site by a medical stuff or other professional user.
- the mobile communication device can transmit the ECG data to any destination in real-time (or near real-time).
- the personal ECG device transmits 8 sample (e.g., of 2.5 second) views of the heart which commonly defined as lead I, II ,V1, V2, V3, V4, V5, V6, and in addition it transmits the Rhythm strip (lead II).
- An exemplary set of electrodes for these leads is shown and described with respect to Figs 5 and 6 hereinafter.
- the method further comprises improving electrode contact quality by using the smartphone to display to the user the contact quality of each ECG electrode, thereby providing feedback to the user to evaluate the quality of the electrode contact and permit said user to improve the contact and thus the quality of the resulting ECG.
- the smartphone's screen permits user device instructions to be displayed and /or spoken (e.g., voicing instructions, questions and/or other relevant data) to the user while operating the personal ECG device.
- the present invention further relates to an electrocardiographic monitoring system, which comprises: a) a personal ECG device for providing 12-lead electrocardiogram data that represents the electrical activity of a user's heart, wherein said 12-lead electrocardiogram obtained from a set of at least 9 skin electrodes each of which is electrically connected to said personal ECG device, either directly or via a chest electrode belt; b) a short range wireless communication module embedded within said personal ECG device for data communicating with a smartphone; and c) a dedicated smartphone application for being executed by said smartphone, for visually displaying information related to said provided 12-lead electrocardiogram and for data communicating with a remote data center.
- the electrode belt includes a chest strap with 6 anatomically positioned precordial ECG electrodes, Right/Left Arm electrodes, an elastic portion to extend around the chest and a unique, convenient closure containing electrical connections.
- the electrode belt can be detached from the personal ECG device and replaced by various belts to personalize belt size to chest size and gender.
- the personal ECG device is configured in such a way that it is capable of storing at least one retractable ECG electrode (i.e., the waist electrode that is placed at the waist or belt line positioned halfway from the naval to the left hip) and its conductive wire within its housing to conserve space.
- the electrode is a spool with an outside electrically conductive electrode surface to allow the winding of the wire into the housing of the personal ECG device similar to a child's YOYO.
- the retractable ECG electrode is provided with a retracting means to store the wire, such as a spring or alternative device within the housing of the personal ECG device to retract the wire inside for compact storage.
- FIG. 1 schematically illustrates a layout of the personal ECG electrocardiographic monitoring system, according to an embodiment of the present invention
- Figs. 2 schematically illustrates a front view of a personal ECG device, according to an embodiment of the present invention
- Figs. 3 schematically illustrates a rear view of the personal ECG device of Fig. 2;
- Fig. 4 schematically illustrates an electronic block diagram of the personal ECG device, according to an embodiment of the present invention
- FIG. 5 schematically illustrates a front view of a personal ECG device provided with an electrodes belt, according to an embodiment of the present invention
- - Fig. 6 schematically illustrates a rear view of the personal ECG device of Fig. 5; and - Figs. 7-11 schematically illustrate example Smartphone screen layouts of a dedicated application to be used with the personal ECG device, according to an embodiment of the present invention.
- ECG electrocardiographic
- PDA personal digital assistant
- user inputs or gestures are described as being provided via phone key presses, data entry via a keyboard, the use of touch screens or by clicking a button, optionally, user inputs can be provided using other techniques, such as by voice or otherwise.
- Fig. 1 schematically illustrates a layout of an ECG monitoring system 10, according to an embodiment of the present invention.
- System 10 enables an individual to immediately gather and transmit 12-lead ECG and a rhythm strip data to a remote unit or to any required destination.
- the system 10 provides data which represents the electrical activity of the heart.
- the 12 Lead ECG defines the graphic representation of the electrical activity of the heart from various anatomical locations of the body.
- the electrical activity of the heart recorded over time is called a rhythm strip.
- the system 10 and its components are described in further details herein below.
- System 10 comprises three main components: a personal ECG device 1, an application installed on a suitable mobile communication device 2 (e.g., an iPhone application) and a remote data center 3 with a dedicated software (e.g., the SHL medical monitoring center of SHL Telemedicine, remote medical center, or any other data center).
- a personal ECG device 1 an application installed on a suitable mobile communication device 2 (e.g., an iPhone application) and a remote data center 3 with a dedicated software (e.g., the SHL medical monitoring center of SHL Telemedicine, remote medical center, or any other data center).
- a suitable mobile communication device 2 e.g., an iPhone application
- a remote data center 3 with a dedicated software e.g., the SHL medical monitoring center of SHL Telemedicine, remote medical center, or any other data center.
- the personal ECG device 1 comprises skin electrodes and electronic components which are used for real-time transmission of the electrical activity of the heart as acquired by the skin electrodes.
- Device 1 transmits the data representing the electrical activity of the heart via a wireless communication link (e.g., via Bluetooth) to the mobile communication device 2.
- a wireless communication link e.g., via Bluetooth
- the electrocardiogram is constructed in the remote data center 3. The construction of the ECG and the operation of the remote data center 3 involve the following tasks:
- ECG records and/or other related data in a variety of forms to other data devices (e.g., fax, email, printer, mobile phone, smartphone, etc).
- data devices e.g., fax, email, printer, mobile phone, smartphone, etc.
- the system 10 of the present invention allows the user to acquire the ECG, visualize the ECG (as delivered from the remote data center 3) on a smartphone and further, utilizing the smartphone allows the user to forward the electrocardiogram to a medical expert, his own doctor, or to a remote facility for analysis and/or advice.
- ECG related activity can be conveyed to the user via the display unit of the smartphone. These may further include indication regarding the quality of the electrode contact and other relevant information (e.g., guiding and instructions for the user during and/or after the use), to be discussed in greater details below.
- Figs. 2 and 3 show a personal ECG device 1 that can be used in conjunction with the invention.
- the device 1 illustrated in this figures is particularly convenient because it has a relatively small dimension and wherein its housing 11 is configured in such a way that it contains on its front panel a visual indicator 12 (e.g., in form of a glowing heart), which displays the status of the personal ECG device 1.
- Device 1 further comprises a "start” button 13 which used for turning “on” (or “off) the personal ECG device 1 (e.g., the "start” button can be located adjacent to the visual indicator 12).
- the visual indicator 12 should be located on the front side of the housing of the personal ECG device 1 or on other location that will be seen easily by the user. This visual indicator 12 displays the status of the personal ECG device 1, whether it is turned on, measuring or has an error.
- Device 1 further comprises a set of skin electrodes, wherein some of them are deployed along an electrode belt 16 (such as the exemplary electrodes indicated by numerals 21, 22 and 23), while other electrodes VI and V2 are attached to the rear side of the housing 11 (see Fig. 3).
- an electrode belt 16 such as the exemplary electrodes indicated by numerals 21, 22 and 23
- other electrodes VI and V2 are attached to the rear side of the housing 11 (see Fig. 3).
- the device 1 also comprises a waist electrode 14 that is electrically connected to device 1 through a novel and unique retractable mechanism (i.e., a yoyo-like mechanism), as will be described in further herein after.
- the housing 11 of device 1 includes a compartment 20 adapted to store the waist electrode 14 while it is not in use.
- the compartment 20 is located at the rear side of the housing 11, as easily seen in Fig. 3. This arrangement provides a compact and comfortable solution to the storage of the waist electrode 14.
- Another advantage of the present invention over the prior- art devices is that the waist electrode 14 can easily and automatically be returned into its storage compartment 20 after the use, due to the retractable mechanism.
- the rear side of the housing 11 has two electrodes (precordial electrodes VI and V2).
- the housing 11 should be placed against the center of the user's chest.
- the housing's ergonomic design ensures the correct positioning of the electrodes VI and V2 against the chest, while affording the user maximum comfort with minimal exertion when operating the device.
- the device 1 further comprises a belt closure 18 for closing the belt 16, while it surrounds the body of the user. According to an embodiment of the invention, in addition to the mechanical attachment, the buckle of belt 16 and the belt closure are also electrically connected.
- electrical wirings can be used to connect each of the skin electrodes 21- 23 (that are deployed along belt 16) to the buckle 19 of belt 16, while the electrical connection between the belt's buckle 19 and the belt closure 18 allows to transfer the electrical activity of the heart as acquired by the skin electrodes 21-23 to the electronic components of device 1.
- the personal ECG device 1 is powered by a power source such as one or more batteries.
- the batteries can be 2 lithium "AAA" batteries.
- alkaline batteries can also be used.
- FIG. 4 a schematic layout of the electronic components within the housing 11 of the personal ECG device 1 is shown in accordance with an embodiment of the present invention.
- the electronic components that are located inside the housing 11 of device 1 are divided to two main electronic modules: an analog module 32 and a digital module 33.
- the analog module 32 contains signal conditioning circuitry to acquire the low level electrical signals from the electrodes 31.
- the signals from the electrodes 31 are acquired in such a manner to obtain the data for the standard Einthoven limb leads, the Goldberger augmented leads and the Wilson precordial leads which comprise the standard 12 lead electrocardiogram.
- the signal condition circuitry may include typical electronic components for amplifying the low level electrical signals from the electrodes 31 and to convert them into a digital form, such as input amplifiers, analog to digital converters, filters, and/or other components that can be used to manipulate analog signals.
- the digital module 33 digitizes the electrocardiographic signals. Further this module also provides the two way wireless communication protocol to convey all the digital data to and from the mobile communication device 2 (e.g., a wireless communication between the device 1 and an iPhone, iPad, iTouch, other smartphones or wireless communication devices via a Bluetooth (BT) module 36 or other wireless protocol).
- Device 1 further comprises a User Interface (UI) 34 or other Man Machine Interface, which may include one or more visual indicator (e.g., the glowing heart 12) and/or other display unit (e.g., LCD panel), one or more functional button (e.g., such as the start button 13), etc.
- UI User Interface
- UI User Interface
- the personal ECG device of the present invention needs to transmit data to a paired and relatively adjacent portable communication device, such as a smartphone (using short range data communication protocol, e.g., Bluetooth).
- Short range transmissions reduce power consumption.
- the personal ECG device requires a smaller battery, which leads to its relatively smaller dimensions (e.g., about 8,5cm width, 11cm length and 1.5cm height).
- a smaller battery also results in a lighter unit (e.g., about lOOg).
- Lower power consumption also allows the practical use of disposable batteries, eliminating the need for a recharger with cable. All these factors further reduce the size and weight of a user's carrying/storage package.
- the device housing and belt contain electrodes (i.e., set of skin electrodes) for acquiring electrical signals from the conventional anatomic electrode locations for a 12 lead electrocardiogram from the chest and limbs.
- the electrodes can be made from PC ABS + 20% glass fiber with a coating of silver/silver chloride (Ag/AgCl).
- a 12-lead ECG is a recording of the heart's electrical activity from 9 anatomical located electrodes on the body which are combined to produce a conventional clinical 12-lead record.
- the electrodes Location deployed as follows; two electrodes are located on the housing (indicated b VI & V2), four precordial electrodes are located on the left electrode belt (indicated by V3 to V6), two limb electrodes consisting of Left Arm (LA), Right Arm (RA) belt mounted electrodes and a flying lead Left Leg (LL) (waist) retractable limb electrode (i.e., the waist electrode 14 with the yoyo-like mechanism (not shown in rear view fig, 4)) attached via a conductive wire.
- two electrodes are located on the housing (indicated b VI & V2)
- four precordial electrodes are located on the left electrode belt (indicated by V3 to V6)
- two limb electrodes consisting of Left Arm (LA), Right Arm (RA) belt mounted electrodes and a flying lead Left Leg (LL) (waist) retractable limb electrode (i.e., the waist electrode 14 with the yoyo-like mechanism (not shown in rear view fig,
- the belt can be detached from the housing of the personal ECG device.
- the personal ECG device can fit all users.
- different belts with strategically positioned electrodes can be used for each gender.
- the electrode belt comprises a dual purpose belt closure: An interlocking fastener is attached to the belt. This permits the user to mechanically attach the end of the chest belt to the housing. Further, this fastener contains electrical contacts to electrically connect some belt monitoring electrodes to the electronics of the device as will be described in further details herein after in the electrodes belt section.
- the personal ECG device is provided with a dual proposes belt closure (as shown in Figs. 5 and 6).
- the electrode belt includes electrical wiring for electrically contacting the electrodes via the belt closure to the electronics of the personal ECG device.
- the electrode belt is an elastic chest strap which comprises 6 precordial ECG electrodes, Right/Left Arm electrodes (indicated by RA and LA in Fig. 5) and a unique, convenient belt closure 18 containing electrical connections to electrically connect with buckle 19 (in addition to their mechanical engagement while fastening the belt around the user's chest).
- At least 9 electrodes are required to be positioned on the user's body.
- Six of the electrodes are precordial electrodes that a positioned at certain anatomical electrode locations on the chest (as indicated by electrodes V1-V6 in Fig. 6).
- the remaining 3 electrodes are limb electrodes monitor the electrical signals on the left arm (LA electrode), right arm (RA electrode) and the left leg (i.e., the retractable waist electrode).
- LA electrode left arm
- RA electrode right arm
- the left leg i.e., the retractable waist electrode
- RA Right Arm
- LA Left Arm
- the electrodes belt further includes a body reference electrode as indicated by numeral 27 in Fig. 6.
- the body reference electrode 27 provides a reference for the input amplifiers of the signal conditioning circuitry, which contributes to reduction of mains noise and better performance.
- the electrodes belt can be made from neoprene covered with Nylon fabric which is the same material utilized for wet suits. This is a comfortable and soft material, ideal for repeated flexing applications. Two electrodes belts are connected with stretch belt.
- the left part of the electrode belt is permanently attached to the left side of the housing and contains seven electrodes: five electrodes (4 precordial monitoring electrodes and one amplifier reference electrode) on the inside of the belt and a further two limb electrodes (i.e., a duplication of electrodes to monitor LA (Left Arm)) on the outside.
- the right part of the electrode belt contain two electrodes on the outside, both are for the RA right arm connection.
- the right electrode belt has a double contact buckle that insures good electrical connection between the electrodes and the housing.
- the two parts of the electrode belt are connected with stretch belt between them. To accommodate different chest sizes, there are different size belts.
- the belts have electrodes positioned in the optimal position for each chest size.
- the personal ECG device further comprises an electrode attached with wire to the bottom of the housing (referred to as "flying" electrode).
- This "flying" electrode is labeled 'waist', referring to where it should be placed.
- the flying ('waist') is positioned at the user's belt line against the bare skin, halfway from the navel to the left hip. Together with the electrodes on the front of the electrode belts, these make up the three limb electrodes.
- the limb electrodes and the other electrodes on the belt in combination with those on the housing device permit the acquisition of ECG data for a rhythm strip and 12 lead ECG for remote interpretation by a qualified healthcare professional.
- the flying electrode has wire a spool or retractor that collect the entire waist electrode wire to the electrode compartment. Using this retractor enables the compact packing of the waist electrode. When the device is not in use, there is no electrode wire hanging outside the housing as occur in prior art devices.
- the outer plastic of the flying electrode may have a conductive coating to reduce electrical noise.
- the electrode wire connects with a spring to the plastic with good conductivity.
- the application may include the following options or application menus:
- Symptoms menus the application can display menus of predefined selectable symptoms so that the user can select any present symptoms.
- Fig. 7 shows a graphical example screen of a symptom menu of the smartphone application.
- Electrodes Contact Quality Display - Fig. 8 shows a graphical example of electrodes contact quality screen of the smartphone application. This screen displays the contact status of the electrodes and will guide the user to correctly position the electrodes in order to improve the contact of the electrodes with the user's body, for example, by displaying visual messages on the displayed image of the human chest (when the personal ECG device is not position correctly), such as "position waist electrode tightly against your skin”, “attach device to chest”, “tighten strap”, etc.
- FIG. 9 shows a graphical example of the ECG perform starting screen of the smartphone application. This screen shows an indication that all the electrodes are in contact (i.e., which is an essential information before the beginning of the recording progress).
- Viewing ECGs - Fig. 10 shows a graphical example of recorded ECGs screen of the smartphone application. This screen permits the viewing of the recorded ECGs.
- Sending ECG - Fig. 11 shows a graphical example of Send ECGs screen of the smartphone application. This screen permits the forwarding of ECGs, e.g., via e-mail or fax.
- Help Function - This includes training information for using the personal ECG device, using the smartphone application and information about the symptoms.
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Abstract
La présente invention concerne un procédé d'obtention d'un électrocardiogramme à 12 dérivations et/ou d'une bande de rythme, comprenant les étapes consistant à : a) positionner correctement de manière anatomique au moins 9 électrodes de surveillance sur le corps d'un utilisateur pour capturer les informations associées à l'activité électrique du cœur dudit utilisateur, chacune desdites électrodes étant connectée électriquement à un dispositif ECG personnel, soit directement et/ou par le biais d'une ceinture d'électrodes; b) produire des données d'ECG à partir dudit dispositif ECG personnel pour un électrocardiogramme à 12 dérivations et une bande de rythme (par exemple, une bande de 12 secondes), lesdites données ECG produites représentant l'activité électrique du cœur dudit utilisateur au fil du temps (et en temps réel) obtenues par lesdites électrodes cutanées; et c) transférer sans fil lesdites données ECG à un dispositif de communication mobile (par exemple, un Smartphone) pour manipuler localement lesdites données ECG et/ou pour faire suivre lesdites données ECG à un centre de traitement de l'information distant (par exemple, centre médical à distance).
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2014512001A JP6038897B2 (ja) | 2011-05-23 | 2012-05-21 | 心電図監視システムおよび方法 |
EP12788738.8A EP2713865B1 (fr) | 2011-05-23 | 2012-05-21 | Système de surveillance d'électrocardiogramme |
CN201280024670.6A CN103607945B (zh) | 2011-05-23 | 2012-05-21 | 心电图监测系统及方法 |
IL229482A IL229482B (en) | 2011-05-23 | 2013-11-18 | Electrocardiographic monitoring system and method |
US14/085,165 US9215998B2 (en) | 2011-05-23 | 2013-11-20 | Device for obtaining a standard 12-lead electrocardiogram and a rhythm strip |
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US11337632B2 (en) | 2020-08-06 | 2022-05-24 | Irhythm Technologies, Inc. | Electrical components for physiological monitoring device |
US11246523B1 (en) | 2020-08-06 | 2022-02-15 | Irhythm Technologies, Inc. | Wearable device with conductive traces and insulator |
CN114271833A (zh) * | 2021-12-27 | 2022-04-05 | 嘉兴域途科技有限公司 | 微型穿戴式单导联ecg移动心电监测仪及其监测方法 |
Also Published As
Publication number | Publication date |
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CN103607945B (zh) | 2016-08-17 |
JP6038897B2 (ja) | 2016-12-07 |
EP2713865A1 (fr) | 2014-04-09 |
CN103607945A (zh) | 2014-02-26 |
EP2713865B1 (fr) | 2017-10-18 |
US9215998B2 (en) | 2015-12-22 |
US20140081118A1 (en) | 2014-03-20 |
JP2014517759A (ja) | 2014-07-24 |
EP2713865A4 (fr) | 2014-10-22 |
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